Southern Missouri Internal Medicine, Pc
LBN: Southern Missouri Internal Medicine, Pc
Southern Missouri Internal Medicine, Pc is an health care organization with primary practice located at 3260 Lexington Ave , Cape Girardeau MO 63701-2609. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Southern Missouri Internal Medicine, Pc can be contacted via phone (573) 335-5057, or through Mcnabb, Mark Jeffery via phone (573) 335-5057.
Contact Information
Primary practice address
3260 Lexington Ave
Cape Girardeau MO 63701-2609
Phone: (573) 335-5057
Fax: (573) 335-1552
Website:
Authorized official contact:
Name: Mcnabb, Mark Jeffery Doctor of Osteopathy (DO)
Phone: (573) 335-5057
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO100129 | Missouri |
Profile Details
| NPI number | 1750625844 |
|---|---|
| LBN Legal business name | Southern Missouri Internal Medicine, Pc |
| DBA Doing business as | |
| Authorized official | Mcnabb, Mark Jeffery Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2012 |
| Last updated | Nov 15th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750625844 | NPPES |
| Missouri | MEDICAID | 203716006 |
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